Psyche NP administration of Botox

In Arizona

Check with your board of nursing.

I have heard about RNs giving botox (or other cosmetic shots) after having documented training.

You may also want to inform you malpractice insurance and question whether you need (or allow to have) added insurance. It's possible that your malpractice will not cover you for things that are not related to PMHNP.

Imo it’s not in their scope to procure it. They may be able to administer it if trained so and under someone else’s license who’s scope it is.  As noted state to state will vary. But if this is a plan it’s heavily frowned upon even when “legal”. Legal isn’t always ethical. 

Been said before but I would change your user name. We try to keep our names anonymous. ?

In my opinion it is completely out of scope of practice for PMHNP role,  with the only exception possibly being prescribing botox for cervical dystonia secondary to psychotropic medications and even that could be on the iffy side.  Practicing with in dermatology setting would be way out of scope.  At least in my state, I think the BON would likely agree with me. I'd discuss with BON AND malpractice insurance for advice BEFORE launching into this work as a PMHNP and be very wary of any changes to state laws/regulations that could impact scope of practice even if both BON and malpractice agency are "okay" with this (which they probably won't be if you ask). 

On 3/23/2021 at 4:13 AM, Regularmurse said:

Is it within a Psyche NP’s scope to purchase botox/assume the roll of medical director to allow for the administrations of botox if the Psyche NP has been trained in Botox injections /and or fillers..and has had  years of ICU experience.. ?? 

no,  If someone is doing that in the context of their PMHNP role that seems inappropriate.   While in some states, Rns can do botox,  if you are using the guise of NP to the public.......that would still be highly unethical  and I don't think the BON would look favorably on this.   I am also not sure what ICU experience has to do with botox injections .......

Check with your state Board of Nursing.  I'm in California and there is only one NP license; it is not differentiated by specialty.  Therefore, in California, and NP who has completed botox training can certainly administer the shots.  You may want to check your malpractice insurance to see if it would cover this type of work.

On 3/23/2021 at 4:13 AM, Regularmurse said:

Is it within a Psyche NP’s scope to purchase botox/assume the roll of medical director to allow for the administrations of botox if the Psyche NP has been trained in Botox injections /and or fillers..and has had  years of ICU experience.. ?? 

Check with your BON.  However, I would wonder if a psychiatrist can become a medical director for a botox clinic?  Just thinking...

3 hours ago, PMHNP Student 2021 said:

Check with your BON.  However, I would wonder if a psychiatrist can become a medical director for a botox clinic?  Just thinking...

Right? the answer of course would be no.  You might be just fine......but if something comes up no board for nursing or accrediting body (which if your working in an advanced practice role  matters)   is going to back you.